92-101983 92 —/o) 983
CITY OF FEDERAL WAY IVI EC MAN I CAL PERMIT PERMIT NO.: BLD92-2422
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/13/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 30617 28TH AVE S
PARCEL NO.: 092104-9263
PROJECT DESCRIPTION: INSTALL GAS FURNACE
OWNER a— CONTRACTOR LENDER
MIKE O'DAY NORTHWEST WATER HEATER
30617 28TH AVE S 8201 DURANGO ST SW
FEDERAL WAY WA 98003 TACOMA, WA WA 98499
984-6404
• NORTHWH103R2
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 MEC APPLIANCE FEES.* $ 10.00
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 30.00
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INSPECTION RECORD . ill
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Water Line OK Mechanical Inspection Notes:
`
4111/Sni
S PIPING OK Date By , i /
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
,)OWNER OR AG DATE I k( i, �� C_
bld_mech 07/01/92
Permit #
RECEIVED CITY OF FEDERAL WAY // MI Zli t V
NOV 61992 BUILDING PERMIT APPLICATION
01}1 Q WAYDEPT
— Please Print -
OX 1 TENA ,,
OWNER ` iV\\VA_ CI 06t SITE LOCATION - 0(.r,.)_1-1 -Pb" C. .,.e._ („2, _
OWNER'S ADDRESS3c,k..2 i CAVA S.
CITY at ly,--0-5L...- 04c-,./N.. PHONE -3"l ---1%`1(..o
DESCRIBE JOB d_v\-Ac -Q ` vv1QC •0
THE PROPERTY IS OWNED BY: SI �"GLE1?:ARRIED } ) PARTNERSHIP CORPORATION
IOX 2 CONTRACTOR'S NAME Northwest Water Heater CONTRACTOR'S REG. # NORTHWH103R2
Card MUST be presented
CONTRACTOR'S ADDRESS 8201 Durango St SW . . CITY Tacoma PHONE 984-6404
EXPIRATION DATE 12-22-92
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
IOX 3 CONTACT PERSON Angel Foster _ PHONE Q
84-6404
OX 4 SEWER DISTRICT WATER DISTRICT -
IOX 5 ESTIMATED PROJECT COST (o Th EXISTING BUILDING VALUATION
OX 6 PROPERTY TAX ACCOUNT NUMBER 09.9-1 01---A - c-10-4, 15
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) - - _
K.C. Plat Recording # - -
OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST. FLOOR / 2ND FLOOR / --- -
3RD - FLOOR / BASEMENT / - - DECK • / GARAGE • / -
OX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ __
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY • SQ FT
•
OX 9 PLUMBING FIXTURES (including rough-ins) - -- ._. -. MECHANICAL APPLIANCES— BASIC FEE S----- ..-
NO. - WATERCLOSETS - GAS PIPING, FEET ✓1 _ . S.... .
BATHTUBS NO. I FURNACE, ELEC. GAS S
SHOWERS - GAS HOT WATER HEA ER-.
. LAVATORIES • CONVERS`tON BURNER . -- --- S._
SINKS BOILER, SIZE BTU S
DISHWASHERS - AIR HANDLING UNITS ....- S ---- --
ELECTRIC HOT WATER HEATER -.- - . HEAT PUMPS, SIZE -
LAUNDRY WASHER OUTLET _ UNIT HEATERS S
URINALS -- - 'AIR COOLING UNITS, SIZE - - =.� ' S -
DRINKING FOUNTAINS - COMMERCIAL HOOD . S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER S
DRAINS . .__ .- .... - . . . . ..
-- - - OTHER
- TOTAL FIXTURES - _ - S
• TOTAL MECHANICAL FEES
:ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
•tD FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
.ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
,D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
'FICERS AND EMPLOYEES, UPON THE ACCURACY OF T, E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
•
','NEP,/AGENT: 1/XV- D�V�S�r 1 a DATE: _/1/1 ��i ( 0 l C)' _/ Ji
• • • • ....ro. -�